DR. LIXIA ZHAO ELLIS (NPI# 1285861674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285861674 |
| Entity Type | Individual |
| Full Name | DR. LIXIA ZHAO ELLIS |
| Other Name | DR. LIXIA ZHAO |
| Credential | M.D., PH.D. |
| Practice Address |
100 Hospital Dr Bennington VT 05201-5004 |
| Mailing Address |
140 Hospital Dr Bennington VT 05201-5009 |
| Practice Telephone | 8024475544 |
| Mailing Telephone | 8024475544 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2014-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 042.0012576 | VT | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | TL-3746 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
100 HOSPITAL DR |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530029 | Kelsey Buran | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-08-29 |
| 1982212478 | Daniel Hennessey | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-07-21 |
| 1306462106 | Daryl Silva | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-06-18 |
| 1720625833 | William B Smith | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5013 | 2019-12-09 |
| 1528613155 | Christine Lynne Burke | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-08-09 |
| 1508427980 | Nathalie Santos | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-26 |
| 1588223002 | Gon Saman | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-08 |
| 1891276374 | Tracie Ann Crawford | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-08-23 |
| 1922585231 | Mark Epler | Physical Therapist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-20 |
| 1619453958 | Mary Campbell | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063572907 | Julie Hsiao-wen Lin | Dermatology | 53 Fairfax Rd Ste 2, Saint Albans, VT 05478-4405 | 2006-12-11 |
| 1508946732 | Dartmouth-hitchcock Clinic | Dermatology | 9 Belmont Ave, Brattleboro, VT 05301-6613 | 2006-10-16 |
| 1730273509 | Patricia L. Seal | Dermatology | 30 Farrell St Ste 200, South Burlington, VT 05403-6112 | 2006-10-03 |
| 1720193998 | Sidney Nathan Klaus | Dermatology | 312 Goodrich Four Corners Rd, Norwich, VT 05055 | 2006-08-20 |
| 1386678381 | Stephanie Dawn Neider | Dermatology | Northern Vermont Dermatology, 53 Fairfax Road Suite 2, St. Albans, VT 05478 | 2006-07-10 |
| 1861432841 | Rebecca M Jones | Dermatology | 138 Elliot St, Brattleboro, VT 05301-3027 | 2006-06-07 |
| 1801891049 | Janet Y Hinzman | Dermatology | 286 Hospital Loop, Ste 2, Berlin, VT 05602-8496 | 2005-06-15 |
| 1932575792 | Northwestern Medical Center, Inc. | Dermatology | 128 Fisher Pond Rd, 2nd Floor, Saint Albans, VT 05478-6058 | 2015-08-17 |
| 1104204874 | Mindful Dermatology, Ltd | Dermatology | 205 Billings Farm Rd, Suite 2d, White River Junction, VT 05001-5400 | 2015-05-13 |
| 1427442615 | Julia Hobson Barker | Dermatology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-03-25 |
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| City | BENNINGTON |
| Zip Code | 05201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.